Active NPI
Charbel I Maksoud, M.D.
- Gastroenterology Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2011009249
- Practice address
- 3333 McIntosh Cir
Ste 3
Joplin, MO 64804-3649 - Phone
- (417) 347-8636
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2011009249 | MO | Primary |
Addresses
Primary practice location
3333 McIntosh Cir
Ste 3
Joplin, MO 64804-3649
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-8636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 McIntosh Cir
Suite 3
Joplin, MO 64804-3681
Phone (417) 347-8636
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 91 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 171 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011009249 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman Neosho Hospital | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Freeman Neosho Hospital | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Freeman-Oak Hill Health System | Past | Accepting new patients |
Locations
3333 McIntosh Cir
Ste 3
Joplin, MO 64804
Phone (417) 347-8636
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
811 W 34th St
Joplin, MO 64804
Phone (417) 622-4262
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
-
- Internal Medicine Physician
- Neosho, MO
- NPI 1083045686
-
- Rural Health Clinic/Center
- Anderson, MO
- NPI 1437513686
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1285845339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033810",
"telephone_number": "417-347-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 MCINTOSH CIR",
"address_2": "STE 3",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043649",
"telephone_number": "417-347-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKSOUD",
"first_name": "CHARBEL",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2011009249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.